<?php
include '../../includes/header.php';
?>

<div id="page-wrapper">

    <br>
    <h2 style="margin-bottom: 1%;color: #428bca;text-decoration: none;">Enquiry Form</h2>

    <form role="form">
        <div class="form-group">
            <label>Enquiry</label>
            <input class="form-control">
        </div>

        <div class="form-group">
            <label>Date</label>
            <input class="form-control" placeholder="Enter text">
        </div>

        <div class="form-group">
            <label>Student Name</label>
            <input class="form-control">
        </div>

        <div class="form-group">
            <label>Father</label>
            <input class="form-control">           
        </div>

        <div class="form-group">
            <label>Admission to class/group</label>
            <input class="form-control">          
        </div>

        <div class="form-group">
            <label>Study Year</label>
            <input class="form-control">        
        </div>

        <div class="form-group">
            <label>Previous School/college</label>
            <input class="form-control">          
        </div>

        <div class="form-group">
            <label>Previous Class</label>
            <input class="form-control">            
        </div>

        <div class="form-group">
            <label>Address</label>
            <input class="form-control">            
        </div>

        <div class="form-group">
            <label>Street</label>
            <input class="form-control">            
        </div>

        <div class="form-group">
            <label>Area</label>
            <input class="form-control">            
        </div>

        <div class="form-group">
            <label>Status</label>
            <input class="form-control">            
        </div>

        <div class="form-group">
            <label>Phone</label>
            <input class="form-control">            
        </div>

        <div class="form-group">
            <label>Mobile</label>
            <input class="form-control">            
        </div>

        <div class="form-group">
            <label>Remarks</label>
            <textarea class="form-control" rows="3"></textarea>
        </div>

        <div class="form-group">
            <label>Name of the Coordinator</label>
            <input class="form-control">            
        </div>
        
        <div  style="clear:both; float: right; margin-right: 5%">
        <button type="submit" class="btn btn-primary" >Submit Button</button>
        </div>
    </form>

</div>

<?php
include '../../includes/footer.php';
?>


